Objective Objective To observe and investigate the clinical effect of Self-made Tongfushunqi Decoction on the recovery of gastrointestinal function after gynecological abdominal surgery. Methods 60 patients with gynecological abdominal surgery were randomly divided into into 2 groups. Give control group routine postoperative treatment；in addition， Chinese medicine group take Self-made Tongfushunqi Decoction orally. Results The results showed that the time of postoperative bowel sounds recovery， the first exhaust time and the first defecation time of Chinese medicine group were lower than control group， and the differences were significant（P＜0.05）. The total symptom score of postoperative at 24 hours after surgery of Chinese medicine group was lower than control group with no significant difference（P＞0.05）. The total symptom score of postoperative at 24 hours after surgery of Chinese medicine group was lower than control group， showing a significant difference（P＜0.05）. There was a significant difference with comparative effectiveness in the two groups of patients（P＜0.05）. Conclusion Self-made Tongfushunqi Decoction can accelerate the gynecological abdominal surgery in patients with postoperative bowel sounds recovery， the first exhaust and defecation time. In addition， it can improve symptoms such as abdominal distension， abdominal pain， nausea and vomiting after surgery.